NPI 1548683287

Kenna J Smicker, COTAL

Practitioner Occupational Therapy Assistant Kankakee, IL

Practice location

Address: 1601 Butterfield Trl, Kankakee, IL 60901-2959
Phone: (815) 936-6500

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057.003840 (IL)

Other Occupational Therapy Assistant providers in Illinois →

Registry record

NPI: 1548683287
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2014
Record last updated: 31 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.